How much rates vary
Facilitymedian $1,122 · 10th to 90th $794 to $1,905Professionalmedian $1,122 · 10th to 90th $813 to $16,218
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $870.96 | Facility | None | $812.83 | $812.83 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,621.81 | Professional | None | $812.83 | $812.83 | $1,621.81 |
BCBS Texas Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Christus Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
Lucent Health Setting Professional Modifier None Typical Low $11,748.98 Median $16,218.10 Typical High $16,218.10 | Professional | None | $11,748.98 | $16,218.10 | $16,218.10 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $1,047.13 Typical High $1,905.46 | Facility | None | $588.84 | $1,047.13 | $1,905.46 |
Moda Health Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,621.81 | Professional | None | $812.83 | $870.96 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $1,023.29 Typical High $1,023.29 | Professional | None | $81.28 | $1,023.29 | $1,023.29 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $1,905.46 | Facility | None | $794.33 | $1,122.02 | $1,905.46 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $2,089.30 | Facility | None | $1,047.13 | $1,202.26 | $2,089.30 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,348.96 | Professional | None | $758.58 | $1,148.15 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $407.38 Typical High $812.83 | Professional | 52 · Reduced service | $407.38 | $407.38 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $323.59 | Professional | 53 · Discontinued | $162.18 | $162.18 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $245.47 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $162.18 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $162.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $407.38 Typical High $812.83 | Professional | 52 · Reduced service | $407.38 | $407.38 | $812.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $323.59 | Professional | 53 · Discontinued | $162.18 | $162.18 | $323.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $245.47 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $245.47 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $162.18 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $162.18 |
Where Texas sits
The same service costs 3.1 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 30th of 51
$1,122
HI $2,692DE $871
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.